So I had an ambulance call today & would like to see how you would have handled it. I got called about a student who has a history of fainting (doctors are still trying to figure out why). She felt dizzy and fell down hitting her knee first and then her head. She had a headache & said she was "not feeling right." I asked if her neck or back were hurting & she said no. She eventually noticed her hip hurting as well. She was slightly pale still but good vitals. I called an ambulance because I didn't want to move her as she had hit her head hard & I didn't want to move her even though she didn't have neck or back pain.
The ambulance crew allowed her to get up onto the stretcher & her dad ended up transporting. I am not beating myself up but would like your input on how you would have decided to let her get up & move or stay still for an ambulance. She is a 16 y/o high school student.
On a different note--I gave my first epi on Monday! Had to give two epis because she was still very symptomatic 6 minutes after the first dose (dizzy, nausea, flushing on her chest with red streaks going toward her abd., SOB, numb throat). I got her on the floor with her feet up after the first epi & the dizziness improved. But then she started to feel worse So she got a second dose of epi. My principal was at the student's head and saw the red streaks receding after the second dose of epi. The ambulance was delayed due to road blocks...
Thanks for any thoughts you might have on assessment of the student who fell!!
...I just don't have the organizational skills to keep up with all the tasks & the daunting amount of paperwork. I was given a high school & an elementary school & I've been sinking with the paperwork. I've had emergency after emergency (which I have LOVED) & not enough time to do all I need to do. I do not have the leadership & organizational skills that School Nursing requires...I'm just not sure where I can go in nursing that will utilize my strengths & not my weaknesses??
I'm not buying it. No way - no how. If I was there with you I'd put you in a head lock and give you noogies until you cried uncle and could clear your head. But I'm not there so this is my weekend challenge to you.
Watch one of my favorite Rocky movies, "Eye of the Tiger." Watch it without interruptions; maybe twice. Overlay that onto your post and check in with us Monday. I'm not letting you off the hook yet.
Nice job on both! IN EMS, no neck pain or shoulder pain means no backboard (unless you're the only survivor in a multi-fatality MVA then consider mechanism of injury). I'm actually interviewing for a school nurse job on Tuesday as a substitute. I work med -surg now but I'm also a new nurse but paramedic for 20+ yrs prior.
Thanks, OldDude, I will take it under advisement! BTW, your advice had my husband in stitches! And thanks for the help, Estateboy! Good luck on your interview. They would be fortunate to get you!
Specializes in ICU/community health/school nursing.
Nice job on both! IN EMS, no neck pain or shoulder pain means no backboard (unless you're the only survivor in a multi-fatality MVA then consider mechanism of injury). I'm actually interviewing for a school nurse job on Tuesday as a substitute. I work med -surg now but I'm also a new nurse but paramedic for 20+ yrs prior.
Come to the school nurse side!!!
OP - it's been said before. Never second guess. I think you probably do have the skills, it's just learning and if you haven't been here a year you haven't developed the peculiar set of time management skills required for school nursing. Hang in there.
So she got a second dose of epi. My principal was at the student's head and saw the red streaks receding after the second dose of epi. The ambulance was delayed due to road blocks...
OldDude
1 Article; 4,787 Posts
I'm not buying it. No way - no how. If I was there with you I'd put you in a head lock and give you noogies until you cried uncle and could clear your head. But I'm not there so this is my weekend challenge to you.
Watch one of my favorite Rocky movies, "Eye of the Tiger." Watch it without interruptions; maybe twice. Overlay that onto your post and check in with us Monday. I'm not letting you off the hook yet.